| George Derby Centre - Complaint Information |
| General Details | |
|---|---|
| Facility Type | Adult Residential Care - 100 |
| Investigation Completed | March 22, 2021 |
| Reason for Investigation | - Policies and procedures - Care and supervision |
| Report of Findings |
|---|
| Licensing received a complaint on March 15, 2021, regarding care & supervision and policies & procedures. The complainant provided the following concerns: - Staff did not provide support in accessing necessary health services - The complainant was not notified of a change in person in care's (PIC's) circumstances - The PIC's condition is deteriorating All areas of the complaint were fully investigated. Evidence was collected from interviews and records. Licensing determined the following contraventions: - Residential Care Regulation (RCR) s. 85(1)(d) policies implemented by employees- notification - RCR s 81(4)(b)(i) care plan-reviewed and modified if substantial change in circumstances |
| Substantiated Contraventions: Evidence for this summary report is based on a combination of the Licensing Officer’s observations, a review of facility records and information provided by the facility staff at the time of the investigation. |
| Observed Violations/Contraventions: A summary of the violations found during the complaint investigation are listed below. |
| Code | Category/Description |
|---|---|
| 33280 - RCR s.85(1)(d) | A licensee must do all of the following: (d) ensure that policies are implemented by employees. Observation: Review of the evidence found that, although the PIC did lose a tooth and the information was documented in the nursing notes, there is no documentation that the complainant was notified of the tooth loss. Corrective action: Corrective action required. |
| 34750 - RCR s.81(4)(b)(i) | A licensee must ensure that (b) each care plan is reviewed and, if necessary, modified (i) if there is a substantial change in the circumstances of the person in care. Observation: Review of the documentation showed that the Doctor was notified of the concerns related to the PIC's teeth and made recommendations that the PIC receive mouth care 3 times per day, but this information was not included in the care plan. Corrective action: Corrective action required. |
| Actions Required by Licensee/Operator | |
|---|---|
| - Corrective action plan to be developed and submitted. |
| Action Required by Licensing Officer or Medical Health Officer | |
|---|---|
| - Review and monitor corrective action plan > Follow up inspection required. |
| Status Update |
|---|
| No further action required. All contraventions have been addressed. |
| Updated on April 22, 2021. |
